Prognosis of fracture of the talus in children: 21 (7-34)-year follow-up of 14 cases

Jensen, Ib; Ju, Wester; Rasmussen, Finn; Lindequist, S; Schantz, Kim

doi:10.3109/17453679408995478

Cited by 50 publications

(34 citation statements)

References 2 publications

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“…Furthermore, they observed no persistent osteonecrosis in patients younger than 12 years, and reported favourable outcomes in the majority of cases irrespective of the mode of treatment 3. Jensen et al 2 reported an excellent long-term prognosis of minimally displaced and undisplaced fractures of the talus in the paediatric population. Avascular necrosis of the body of the talus has been reported in children after minimally displaced fractures8 but usually occurs following fracture-dislocations of the talus 2 8 9.…”

Section: Discussionmentioning

confidence: 98%

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Paediatric talus fracture

Byrne

Stephens²

2012

Case Reports

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Paediatric talus fractures are rare injuries resulting from axial loading of the talus against the anterior tibia with the foot in dorsiflexion. Skeletally immature bone is less brittle, with higher elastic resistance than adult bone, thus the paediatric talus can sustain higher forces before fractures occur. However, displaced paediatric talus fractures and those associated with high-energy trauma have been associated with complications including avascular necrosis, arthrosis, delayed union, neurapraxia and the need for revision surgery. The authors present the rare case of a talar neck fracture in a skeletally immature young girl, initially missed on radiological review. However, clinical suspicion on the part of the emergency physician, repeat examination and further radiographic imaging revealed this rare paediatric injury.

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Section: Discussionmentioning

confidence: 98%

“…It is thought that the paediatric foot is flexible and skeletally immature bone less brittle, with higher elastic resistance than adult bone, thus the paediatric talus can sustain higher forces before fractures occur 2 3. The talar neck is the most common fracture site, followed by the talar body.…”

Section: Introductionmentioning

confidence: 99%

Paediatric talus fracture

Byrne

Stephens²

2012

Case Reports

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“…However, the longest outcome study performed on talar fractures in children revealed that all displaced fractures developed talar-crural arthrosis at follow-up. 9 In addition, most authors recommend surgical treatment in regards to displaced osteochondral injury in children. 4,21,22 We feel that an excellent outcome has been achieved in a patient who had devastating injuries at presentation.…”

Section: Discussionmentioning

confidence: 99%

The Use of a Cell-free Chondroinductive Implant in a Child With Massive Cartilage Loss of the Talus After an Open Fracture Dislocation of the Ankle

Mason

Wilson-Jones²,

Williams³

2014

Journal of Pediatric Orthopaedics

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“…The authors have found only few reports of talar body fracture in children. Cases involving the talar body which were undisplaced have been managed conservatively in the past with excellent outcomes [9]. The concern with talar fractures in any age group is that of avascular necrosis and consequent os-teoarthritis.…”

Section: Discussionmentioning

confidence: 99%

Fracture Bilateral Talus in Children

Verma¹,

Batra²,

Kamboj³

et al. 2013

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Talar body injuries are rare, particularly in children. To our knowledge, there has not been a single case report of bilateral talus fracture in a child till date. We report two cases of fracture bilateral talus in children. The first case is of a fracture separation of the distal tibial epiphysis and a fracture of the body of the talus with subluxation of ankle on right side and a fracture neck of talus on left side. The second is fracture bilateral talus with epiphyseal injury of left distal tibia. A minimal or undisplaced fracture of talus is less likely to undergo avascular necrosis than a displaced fracture but even with optimal treatment, avascular necrosis may still occur. It is of prime significance that these fractures should be diagnosed well in time to avert complications. Therefore an appropriate length of follow-up is required.

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Prognosis of fracture of the talus in children: 21 (7-34)-year follow-up of 14 cases

Cited by 50 publications

References 2 publications

Paediatric talus fracture

Paediatric talus fracture

The Use of a Cell-free Chondroinductive Implant in a Child With Massive Cartilage Loss of the Talus After an Open Fracture Dislocation of the Ankle

Fracture Bilateral Talus in Children

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